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A catastrophic complication of hip arthroscopy

Maurilio Bruno1, Valentina Longhino, Valerio Sansone

  • 1Orthopaedic Department, Università degli Studi di Milano, Istituto Ortopedico Galeazzi IRCCS, Milan, Italy.

We present the case of an unusual and serious complication of hip arthroscopy due to the severance of the inferior gluteal artery. The lesion induced a severe anemic condition and the formation of a large pseudoaneurysm, which compressed the sciatic nerve and left permanent neurologic sequelae. To our knowledge, this is the first reported case of its kind. We also describe how to establish a safe posterior hip joint arthroscopic portal to avoid such a complication.